Safe Zones for Percutaneous Carpal Tunnel Release.

Hand Clin · Feb 2022 · Review

Wu PT, Chern TC, Wu TT, Shao CJ, Wu KC, Kuo LC, et al.

Department of Orthopedics, E-Da Hospital, No. 1, Taiwan

Hand & Upper Extremity

SUMMARY — THE REDUCTIONReviews safe-zone anatomy and ultrasound-guided percutaneous carpal tunnel release techniques to avoid rare but serious complications, noting the approach is reliable when safe zones are respected but demands substantial ultrasound experience.
Abstract, as published

Carpal tunnel release (CTR) is an effective procedure used in open, endoscopic, or ultrasound-guided methods. The complications are rare but potentially devasting. Most complications come from errors related to intraoperative technique, especially in the minimally invasive approach. An understanding of the "safe zones" is essential to perform percutaneous CTR safely. This article reviews the anatomy of safe zones and the ultrasound-guided CTR (UCTR) techniques in an attempt to prevent intraoperative complications. In strict accordance with the concepts of safe zones, UCTR is an effective and reliable procedure. Substantial experience for ultrasound-guided injection and surgery is required.

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